Tissue Reinforcement for Breast Reconstruction (TRBR) Pivotal Clinical Study (REDEFINE)

Last updated: October 21, 2025
Sponsor: W.L.Gore & Associates
Overall Status: Active - Recruiting

Phase

N/A

Condition

N/A

Treatment

TRBR Device

Clinical Study ID

NCT06556654
TBR 22-07
  • Ages > 22
  • Female

Study Summary

The GORE Tissue Reinforcement for Breast Reconstruction (TRBR) research study will look at breast reconstruction during mastectomy procedures. There will be two arms in this study, a Treatment Arm, where data will be collected for a new medical device called the Tissue Reinforcement for Breast Reconstruction (TRBR) Device and a Control Arm where data will be collected from subjects who have previously had surgery and received no additional tissue reinforcement in their breast reconstruction surgery. This research study will look at the safety of the Study Device and the success of the participants breast reconstruction. The Study Device is investigational, which means it has not yet been used nor approved by the FDA for this treatment. The data collected in this study will be compared to the data collected in the Control Arm.

Eligibility Criteria

Inclusion

Inclusion Criteria:

  1. Female subjects ≥ 22 years of age.

  2. First-time breast reconstruction post-mastectomy for target breast(s).

  3. Scheduled to undergo unilateral or bilateral mastectomy with immediate, two-stage,implant-based, subpectoral or prepectoral breast reconstruction after mastectomy.

  4. Mastectomy performed to address breast cancer or for cancer prophylaxis.

  5. An informed consent form is signed by Subject or Legally Authorized Representative (LAR).

  6. Subject is capable of following protocol procedures and complying with follow-upvisit requirements

Exclusion

Exclusion Criteria:

Baseline Exclusion Criteria

  1. Subject has had a revision(s) in the target breast(s) following complications ofbreast augmentation, mastopexy (breast lift), or breast reduction.

  2. Subject has undergone previous radiation therapy to the reconstruction site or chestwall.

  3. Subject has had chemotherapy within 3 weeks prior to the index procedure.

  4. Subject has been treated for a systemic infection or local infection at the surgicalsite within 30 days prior to index procedure.

  5. Subject has a current or previous diagnosis of Methicillin-resistant Staphylococcusaureus (MRSA).

  6. Subject has a BMI > 35.

  7. Subject has a known diagnosis of diabetes with a HbA1c > 7.0mmol/L within 30 days ofthe Index procedure (i.e., TE placement).

  8. Subject was a current or former tobacco/nicotine user, within 90 days prior to IndexSurgery (i.e., TE placement).

  9. Subject is currently taking medication (e.g., systemic steroid), which in theinvestigator's opinion, may increase the risk of local complications of breastreconstruction.

  10. Subject has other medical, social, or psychological conditions which could interferewith provision of informed consent, completion of tests, therapy, or follow-up.

  11. Subject is currently participating in or planning to participate in anotherinvestigational drug, biologic or medical device study that may interfere withcompliance of TBR 22-07 study requirements or may confound TBR 22-07 studydata/outcomes.

  12. Subject requires a surgical technique requiring flap (autologous tissue).

  13. Subject is pregnant or lactating at the time of the index procedure (i.e., TEplacement) or is planning to become pregnant prior to the Exchange procedure.Intraoperative Index Procedure Exclusion

  14. Based on investigator's opinion, subject has unsuitable tissue integrity forimmediate 2-stage breast reconstruction or is no longer a candidate to receive theTRBR Device (will be recorded as a screen failure).

  15. Subject receives an Acellular Dermal Matrix (ADM) or mesh that is not the TRBRDevice in the target breast(s)

Study Design

Total Participants: 180
Treatment Group(s): 1
Primary Treatment: TRBR Device
Phase:
Study Start date:
April 09, 2025
Estimated Completion Date:
July 31, 2030

Connect with a study center

  • Mayo Clinic Arizona

    Scottsdale 5313457, Arizona 5551752 85259
    United States

    Active - Recruiting

  • University of Arizona

    Tucson 5318313, Arizona 5551752 85724
    United States

    Active - Recruiting

  • The Regents of the University of California

    Irvine 5359777, California 5332921 92697-7600
    United States

    Site Not Available

  • Cedars-Sinai Plastic and Reconstruction Surgery

    Los Angeles 5368361, California 5332921 90048
    United States

    Site Not Available

  • Riverside University Health System-Medical Center

    Moreno Valley 5374732, California 5332921 92555
    United States

    Active - Recruiting

  • Mayo Clinic Florida

    Jacksonville 4160021, Florida 4155751 32224
    United States

    Active - Recruiting

  • Endeavor Health (Northshore University HealthSystem Research Institute)

    Evanston 4891382, Illinois 4896861 60201-3137
    United States

    Active - Recruiting

  • Northwestern University

    Evanston 4891382, Illinois 4896861 60208
    United States

    Active - Recruiting

  • BR Hope LLC

    Wichita 4281730, Kansas 4273857 67206
    United States

    Active - Recruiting

  • The Johns Hopkins University

    Baltimore 4347778, Maryland 4361885 21205
    United States

    Active - Recruiting

  • Corewell Health Research Institute

    Grand Rapids 4994358, Michigan 5001836 49503
    United States

    Active - Recruiting

  • University of Mississippi

    Jackson, Mississippi 39216
    United States

    Site Not Available

  • University of Mississippi

    Jackson 4431410, Mississippi 4436296 39216
    United States

    Active - Recruiting

  • The Board of Regents of the University of Nebraska

    Omaha 5074472, Nebraska 5073708 68198-5331
    United States

    Active - Recruiting

  • The Joan and Sanford I. Weill Medical College of Cornell University

    New York 5128581, New York 5128638 10065
    United States

    Active - Recruiting

  • The Cleveland Clinic Foundation

    Cleveland 5150529, Ohio 5165418 44195
    United States

    Site Not Available

  • University of Pennsylvania

    Philadelphia, Pennsylvania 19104
    United States

    Site Not Available

  • The Fox Chase Cancer Center

    Philadelphia 4560349, Pennsylvania 6254927 19111
    United States

    Active - Recruiting

  • University of Pennsylvania

    Philadelphia 4560349, Pennsylvania 6254927 19104
    United States

    Active - Recruiting

  • The University of Washington Medical Center

    Seattle 5809844, Washington 5815135 98195
    United States

    Active - Recruiting

  • The Board of Regents of the University of Wisconsin System

    Madison 5261457, Wisconsin 5279468 53715
    United States

    Active - Recruiting

  • The Medical College of Wisconsin, Inc.

    Milwaukee 5263045, Wisconsin 5279468 53226
    United States

    Site Not Available

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